Individual
LISA K. JABLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9880 BUSTLETON AVE, SUITE 205, PHILADELPHIA, PA 19115-2185
(215) 676-2222
(215) 676-5923
Mailing address
101 E OLNEY AVE, SUITE 505, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD037734E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255425
—
PA
Enumeration date
09/01/2006
Last updated
07/08/2007
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